Daniel Lide is a student in an organized health care education training program in Las Vegas, NV. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Daniel Lide NPI is 1609244839. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2880 N TENAYA WAY
LAS VEGAS, NV
ZIP 89128-618
Phone: (702) 962-9551
The enumeration date for this NPI number is 9/3/2015 and was last updated on 3/16/2024.